Form Nc-478a - Creating New Jobs
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1
22001 Tax Credit
NC-478A
File with NC-478
Creating New Jobs
North Carolina Department of Revenue
(First 10 Characters)
To be entitled to claim the tax credit for creating new jobs, you must:
Meet the general eligibility requirements of G.S. 105-129.4
Have at least 5 full-time employees in N.C.
Hire at least 1 additional full-time employee in
Attach a certification of eligibility from the N.C.
N.C. during the tax year
Secretary of Commerce
Business Information:
Type of Business
Name, Address, and County of Business Location
Tier and Status Information
Fill in applicable circle:
Fill in all applicable circles:
Qualifying Information
Part 1.
Computation of Eligible Credit Amount for Jobs Created in 2001
(The first installment of this credit must be taken on the 2002 tax return.)
,
1.
Number of additional full-time employees hired in 2001 for positions in the tier
2. Credit amount for each new job
(Enter amount for applicable tier)
,
.
Tier 1
Tier 2
Tier 3
Tier 4
Tier 5
00
$12,500
$4,000
$3,000
$1,000
$500
,
,
.
3. Multiply Line 1 by Line 2
00
,
4.
Number of positions included in Line 1 that are in a development zone
,
,
.
5. Multiply Line 4 by $4,000
00
,
,
.
6. Eligible Credit Amount for Jobs Created in 2001
00
,
,
.
7. Amount of each future installment
00
Part 2.
Information on Additional Full-Time Employees
(Attach additional pages if needed.)
(Complete only if job is located in development zone.)
Place of Residence
Residence in
New Employee’s Name
SSN
Location of New Job
Before Taking New Job
Dev. Zone?
NC
478A
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Parent category: Financial